Aorta to Right Atrial Tunnel with Postnatal Transcatheter Treatment
An antenatal referral for fetal echocardiography at 20 weeks of gestation with the suspicion of a cyst in the right atrium led to the diagnosis of an aorta to right atrial communication in a fetus. It was considered to be right coronary to right atrial fistula by fetal echocardiography. There was no...
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| Published in | Journal of fetal medicine Vol. 3; no. 4; pp. 175 - 177 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
New Delhi
Springer India
01.12.2016
Thieme Medical and Scientific Publishers Pvt. Ltd |
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| Abstract | An antenatal referral for fetal echocardiography at 20 weeks of gestation with the suspicion of a cyst in the right atrium led to the diagnosis of an aorta to right atrial communication in a fetus. It was considered to be right coronary to right atrial fistula by fetal echocardiography. There was no other fetal anomaly and the cardiac hemodynamics remained stable throughout pregnancy. Postnatally, there was a progressive enlargement of the tunnel that led to a decision for intervention. Aortography showed an anterior aorta to right atrial tunnel, which was occluded in the catheterization laboratory. We describe in this report, the antenatal findings noted in ultrasound imaging along with the postnatal presentation and management of this rare congenital anomaly. |
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| AbstractList | An antenatal referral for fetal echocardiography at 20 weeks of gestation with the suspicion of a cyst in the right atrium led to the diagnosis of an aorta to right atrial communication in a fetus. It was considered to be right coronary to right atrial fistula by fetal echocardiography. There was no other fetal anomaly and the cardiac hemodynamics remained stable throughout pregnancy. Postnatally, there was a progressive enlargement of the tunnel that led to a decision for intervention. Aortography showed an anterior aorta to right atrial tunnel, which was occluded in the catheterization laboratory. We describe in this report, the antenatal findings noted in ultrasound imaging along with the postnatal presentation and management of this rare congenital anomaly. Abstract An antenatal referral for fetal echocardiography at 20 weeks of gestation with the suspicion of a cyst in the right atrium led to the diagnosis of an aorta to right atrial communication in a fetus. It was considered to be right coronary to right atrial fistula by fetal echocardiography. There was no other fetal anomaly and the cardiac hemodynamics remained stable throughout pregnancy. Postnatally, there was a progressive enlargement of the tunnel that led to a decision for intervention. Aortography showed an anterior aorta to right atrial tunnel, which was occluded in the catheterization laboratory. We describe in this report, the antenatal findings noted in ultrasound imaging along with the postnatal presentation and management of this rare congenital anomaly. An antenatal referral for fetal echocardiography at 20 weeks of gestation with the suspicion of a cyst in the right atrium led to the diagnosis of an aorta to right atrial communication in a fetus. It was considered to be right coronary to right atrial fistula by fetal echocardiography. There was no other fetal anomaly and the cardiac hemodynamics remained stable throughout pregnancy. Postnatally, there was a progressive enlargement of the tunnel that led to a decision for intervention. Aortography showed an anterior aorta to right atrial tunnel, which was occluded in the catheterization laboratory. We describe in this report, the antenatal findings noted in ultrasound imaging along with the postnatal presentation and management of this rare congenital anomaly. |
| Author | Sivakumar, Kothandam Raja, Vijayalakshmi Chidambarathanu, Shanthi Suresh, Indrani |
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| Copyright | Society of Fetal Medicine 2016 Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. |
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| Keywords | Fetal echocardiography Coronary artery-right atrial fistula Transcatheter occlusion Aorta to right atrial tunnel |
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| References | Ho, Muriago, Cook, Thiene, Anderson (CR4) 1998; 65 Kim, Kim, Choe (CR9) 2014; 15 Mahesh, Francis, Kumar (CR2) 2008; 1 Rosenberg, Williams, Trusler, Smallhorn, Rowe, Moes (CR6) 1986; 91 Sai Krishna, Baruah, Reddy, Panigrahi, Suman, Kumar (CR8) 2010; 37 Anderson (CR5) 2007; 2007 Coto, Caffarena, Such, Marques (CR1) 1980; 80 Deshpande, Fyfe (CR3) 2010; 31 Gajjar, Voleti, Matta, Iyer, Dash (CR7) 2005; 130 SR Deshpande (102_CR3) 2010; 31 C Sai Krishna (102_CR8) 2010; 37 K Mahesh (102_CR2) 2008; 1 EO Coto (102_CR1) 1980; 80 RH Anderson (102_CR5) 2007; 2007 H Rosenberg (102_CR6) 1986; 91 KW Kim (102_CR9) 2014; 15 T Gajjar (102_CR7) 2005; 130 SY Ho (102_CR4) 1998; 65 |
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| Title | Aorta to Right Atrial Tunnel with Postnatal Transcatheter Treatment |
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